SAMSHA: Addiction Counseling Competencies
Výukový materiál je zaměřen na profesionály, kteří se věnují poradenství s klienty užívajícími návykové látky a jejich rodinami. Cílem je odpovědět na otázku, jaké by měl mít profesionál v tomto oboru znalosti, dovednosti, postoje. Uvedený přehled může být zajímavým podkladovým materiálem pro všechny realizátory vzdělávání v oblasti poradenství pro uživatele návykových látek.
FOREWORD
Counselors who treat people with substance use disorders do life-changing work on a daily basis, amid difficult circumstances that include staff shortages, high turnover, low salaries, and scant program funding. Counselors come to this important work by various paths and with vastly different skills and experience. The diversity of backgrounds and types of preparation can be a strength, provided there is a common foundation from which counselors work. This publication addresses the following questions: What professional standards should guide substance abuse treatment counselors? What is an appropriate scope of practice for the field? Which competencies are associated with positive outcomes? What knowledge, skills, and attitudes (KSAs) should all substance abuse treatment professionals have in common?
Workforce development is essential to the field of substance use disorder treatment. The Substance Abuse and Mental Health Services Administration (SAMHSA) has included workforce development in its Matrix of Priority Programs. A major focus of this workforce development strategy is improving the competencies of professionals in the field. This updated edition of Technical Assistance Publication (TAP) 21: Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice (The Competencies) is a key component of that strategy.
In 1998, in cooperation with its Addiction Technology Transfer Center (ATTC) Network, SAMHSA published TAP 21, a comprehensive list of 123 competencies that substance abuse treatment counselors should master to do their work effectively. TAP 21 has been used to develop and evaluate addiction counseling curricula, advise students, and assess counseling proficiencies.
The overarching competencies in this updated version of TAP 21 remain largely unchanged from the original TAP 21. The KSAs have been changed from those in the 1998 edition when necessary, in light of new thinking in the field. The competencies and the KSAs in practice dimensions that address clinical evaluation and treatment planning have been revised to reflect changes in the field. The competencies are defined by sublists of the KSAs needed to master each competency. Bibliographies have been supplemented with new publications through 2005. The format has been improved to make the information more accessible and useful.
Plné znění publikace si můžete stáhnout níže.
| Ke stažení | ||
|---|---|---|
 | Addiction Counseling Competencies - The Knowledge, Skills, and Attitudes of Professional Praktice.pdf | |
Přehled dalších článků
Oxycontin
OXYCONTIN: Analgetikum – anodynum
- učinná látka oxykodon, tableta s prodlouženým uvolňováním, min. 8hod. intervaly
- SÚKL: https://prehledy.sukl.cz/prehledy/v1/dokumenty/66925
OxyContin abusers often chew the tablets or crush the tablets and snort the powder. Because oxycodone is water soluble, crushed tablets can be dissolved in water and the solution injected. The latter two methods lead to the rapid release and absorption of oxycodone.
Oxycodone vs. OxyContin: OxyContin is a brand-name version of the extended-release form of oxycodone....
Oxykodon je v per os podobě s rychlým i řízeným uvolňováním. U řízeného uvolňování je počáteční dávka obvykle 20 mg po 12 hodinách. Nástup účinku je kolem 2 hodin
K dispozici je také kombinovaný přípravek v podobě oxykodon + naloxon, který je výhodný pro pacienty s úpornou zácpou...
"Opiátová krize v USA" – příběh Purdue Pharma
Firma, kterou vlastní rodina Sacklerových, je kvůli OxyContinu předmětem tisíců žalob. OxyContin byl podle nich v USA jedním ze spouštěčů tzv. opioidové krize, která stála od roku 1999 životy až půl milionu lidí.
• Léky s opiáty zabily až půl milionu lidí. Firma platí miliardy a bankrotuje
• Seznamte se, Sacklerovi. Léky miliardářů spustily epidemii, která zabíjí více lidí než zbraně
• Sága rodu Sacklerů aneb Vítězství hamižnosti - monografie Příběhy spojené s objevy nových léčiv (Stanislav Rádl, VŠCHT, 2023) - Blíží se pokrok v boji proti zneužívání opiátů? (2024)
• Seriál Netflixu: Painkiller, 2023
Praxe
• Austrálie 2024
Wastewater-based evaluation of the efficacy of oxycodone regulations in Australia
Prescription changes lead to drop in oxycodone use
use of the opioid oxycodone in Australia almost halved after changes to packaging and prescribing practices in 2019; by reducing package size, adding warnings to packaging and educating health professionals
• Warnings over opioid use spook EU countries into action
• USA: Evidence on Strategies for Addressing the Opioid Epidemic (2017) - 100+ zdrojů !
• The Evolving Consequences of OxyContin Reformulation on Drug Overdoses (2020)
there was a transition from consumers seeking legally produced synthetic opioids (i.e. oxycodone) to seeking illegally manufactured heroin. This was attributed, in part, to the reformulation of oxycodone, which made it difficult to crush or dissolve
• Measuring prescription opioid misuse and its consequences (2021)
Decrease in past‐month prescription opioid misuse and increase in heroin use among people entering treatment for treatment misuse
Oxycodone and Hydrocodone: Detection in Urine, Oral Fluid, and Blood (SAMSHA 2014)
"Léčba"
Oxycodone: A Current Perspective on Its Pharmacology, Abuse, and Pharmacotherapeutic Developments (2023, +correction): kap. Vaccines to Treat Opioid Use Disorders
Pharmacological mechanisms underlying the efficacy of antibodies generated by a vaccine to treat oxycodone use disorder (2021) - oxycodone vaccine currently undergoing clinical testing
A Multifaceted Analysis of Oxycodone Addiction
An Exploratory Study of OxyContin Use Among Individuals with Substance Use Disorders
Changing patterns in opioid addiction - Characterizing users of oxycodone and other opioids (2009)
Evropa a syntetické opiáty
• EUDA: Currently, synthetic opioids play a relatively small role in the drug market in Europe overall, but they are a significant problem in some countries, and there are signals that they could have the potential to play a larger role in Europe’s drug problems in the future. In 2023, new synthetic opioids were detected by the EU Early Warning System on new psychoactive substances in at least 16 EU Member States, Norway and Türkiye (see New psychoactive substances – the current situation in Europe).
• The looming threat of synthetic opioids in Europe?
• Monitoring Opioids in Europe: The Need for Shared Definitions and Measuring Drivers of Opioid Use and Related Harm (2022)
-increasing trends in prescription opioid use have been described for several European countries, including Germany [35], France [36], the United Kingdom [37], Spain [38], Poland [39], and the Netherlands [40]
(https://www.politico.eu/article/spains-cautionary-tale-on-painkillers/)
• Synthetic opioids in Poland—A cause for concern or a media distraction? (2024)
- although Polish physicians are increasingly more likely to prescribe synthetic opioids like OxyContin or Fentanyl, their problematic use remains low.
- synthetic opioids in Europe are often not sold under their brand names, but are used as adulterants to enhance the perceived quality of heroin
„NABÍDKA“
https://www.mimibazar.cz/inzerat/104882808/originalni-leky-na-prodej-oxycontin
https://www.motoinzerce.cz/dily/ruzne-dily/1151175-neurol-1mg-oxykodon-80mg-ketamin-rivotril-2mg-na-prodej.html
https://globalmedsonlineinc.com/product/pain-killers/oxycodone/
